Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Fee Schedule
Low
$1
Average
$17
Median
$7
High
$379
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
107 hospitals; the 90th percentile is 31.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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122 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $62 | $80 | $29 | 37% | — | $51 – $116 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $1 | $2 | $0 | 7% | — | $1 – $2 |
| 3 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $4 | $4 | $0 | 7% | — | $4 – $4 |
| 4 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $4 | $4 | $0 | 7% | — | $4 – $4 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 5 | $52 | $46 | $7 | 16% | — | $37 – $52 |
| 6 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $43 | $7 | 17% | — | $37 – $52 |
| 7 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $95 | $81 | $21 | 26% | — | $51 – $95 |
| 10 | Capital Health System Inc Trenton, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $1 | $12 | $15 | 126% | — | $1 – $35 |
| 11 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $1 | $12 | $15 | 126% | — | $1 – $35 |
| 12 | Conway Regional Medical Center Conway, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $11 | $4 | 32% | — | $6 – $17 |
| 13 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 4 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 14 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 15 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 16 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $3 | $3 | $0 | 7% | — | $3 – $3 |
| 19 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 25 | GLENS FALLS HOSPITAL INC Falls, NY facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting HCPCS S0077 · Snapshot 20261112T181611Z-3fa9fb76